No office rate
Both codes repair an esophageal wound. Use 43410 for a cervical approach and 43415 for a thoracic or abdominal approach.
On this page
CMS RVU26D · Effective 2026-10-01
43410 Esophageal repair Medicare reimbursement rates in Oregon
Reports operative repair of an esophageal wound reached through a cervical approach, such as repair of a traumatic or procedure-related laceration. Compare 43410 office and facility rates across CMS payment localities in Oregon.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 43410 in Oregon?
Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$877.79–$922.84
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Esophageal surgery
About 43410: Cervical approach esophageal wound repair
Reports operative repair of an esophageal wound reached through a cervical approach, such as repair of a traumatic or procedure-related laceration.
This operation repairs an injured or lacerated esophageal wall through a cervical approach. A surgeon typically performs it in an operating room when an esophageal wound requires operative closure, including a traumatic injury or an injury recognized during another procedure. The operative approach distinguishes this service from repair reached through a thoracic or abdominal approach.
Report 43410 for the wound repair itself, with operative documentation identifying the esophageal injury and cervical approach. Closure of an esophagostomy is a different service. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. For multiple procedures in the same session, the highest-valued procedure is paid in full and others are paid at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 43410
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU16.00 · 59%
- Practice expense (office) RVU8.67 · 32%
- Malpractice RVU2.34 · 9%
52
Medicare services in 2024 · #5332 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
43410 compared with similar codes
Office rates for Oregon, from the same CMS release.
No office rate
43420 addresses closure of an esophagostomy through a cervical approach; 43410 repairs an esophageal wound.
No office rate
43425 addresses closure of an esophagostomy through a thoracic or abdominal approach; 43410 is cervical wound repair.
Compare 43410 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Portland →
Office / nonfacility
Unavailable
Facility
$922.84
Rest Of Oregon →
Office / nonfacility
Unavailable
Facility
$877.79
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43410 billing questions
How does 43410 differ from 43415?
Both codes describe repair of an esophageal wound. Choose 43410 when the repair uses a cervical approach; 43415 is for a thoracic or abdominal approach.
Can 43410 be used to close an esophagostomy?
No. This code describes repair of an esophageal wound; closure of an esophagostomy is a distinct procedure. The operative report should identify what opening was repaired.
Is modifier 50 appropriate for 43410?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
What documentation supports reporting 43410?
Document the esophageal wound and the cervical approach used to repair it. The operative report should make clear that the service was wound repair, rather than esophagostomy closure.
What is included in the Medicare global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,24343400,,Ligate esophagus veins,A,,24.96,10.89,NA,10.89,,6.67,42.52,42.52,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,24443405,,Ligate/staple esophagus,A,,24.11,11.80,NA,11.80,,6.07,41.98,41.98,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,2454340F,,Cnslng chldbrng women epi,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5,24643410,,Repair esophagus wound,A,,16.00,8.67,NA,8.67,,2.34,27.01,27.01,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,24743415,,Repair esophagus wound,A,,43.76,17.52,NA,17.52,,11.01,72.29,72.29,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,24843420,,Repair esophagus opening,A,,16.36,7.56,NA,7.56,,2.39,26.31,26.31,0,090,0.09,0.81,0.10,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,24943425,,Repair esophagus opening,A,,24.41,10.62,NA,10.62,,6.16,41.19,41.19,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00